This Pamphlet Is To Let You Know What To Expect From Services You And Your Child Will Be Receiving From Intervention Services

This pamphlet is to let you know what to expect T reatment philosophy from the services you and your child will be Client-centered: For children, the “client” includes receiving from Adapt Behavioral Services. It will the client’s family. Together with the clinician, they also tell you what your rights are and what you determine the goals of therapy and have input into need to do to make treatment a success. interventions. Building a positive, trusting team between the client/family and the clinician is one of If you have any questions, you can contact your the most important aspects of effective treatment. Primary Clinician: Ecological: In addition to helping the individual Name: ______client learn strategies to regulate emotions and behavior, we also work with the adults in the client’s Phone #:______environment to promote healing, growth, and ******************************* improved interpersonal relationships. The client’s If you are in crisis and your clinician is not available, support system is seen as the key to making the you can call the crisis hotline: (407) 425-2624. In client’s treatment gains last after services end. CLIENT the event of an emergency (danger to self or Empowering: Therapy includes teaching skills to others), call 911. clients and their families that can be used as tools RIGHTS to continue healing themselves. This approach Complaints/Grievances: emphasizes independence and self-sufficiency. ******************************** If you have a concern that cannot be resolved by speaking with the staff directly, please contact the Least restrictive, least intrusive: Interventions Program Manager for your location. The Program include prevention strategies, positive Office Hours: M-F, 8:30am-5pm Manager will respond to your concern within 2 reinforcement, and teaching new behaviors, rather Orange/Seminole/Lake Counties: business days. than punishment for problem behavior. Staff do not 225 S. Swoope Ave. #211 Maitland office: Vicki Migacz use restraint or seclusion, and instead focus on de- Maitland, FL 32751 Kissimmee office: Yesenia Diaz escalation. (407) 622-0444 Ormond Beach office: Angela Minett Fax (407) 699-0444 Evidence-based/Outcome-oriented: We only use [email protected] If your concern is not resolved by the Program treatment approaches that have been proven Manager, you may file a grievance in writing by effective through research. Clinicians continuously Osceola/Polk Counties: sending a letter or email to the Executive Director. evaluate whether the interventions are working and, 3483 W. Vine Street The Director will contact you by email or phone if not, change strategies to get better results. Kissimmee, FL 34741 within 2 business days of receipt. The matter will Efficient: We strive to achieve goals while using the (407) 928-0444 be investigated and resolution reached within 1 least amount of resources as possible. This Fax (407) 518-0808 week. includes minimizing cost to the funder and family for [email protected] services, as well as designing interventions that are Grievances should be sent to: both cost-efficient and energy-efficient (least effort) Volusia/Flagler/St. Johns Counties: Sharon Older, Executive Director for the client/family. 533 N. Nova Rd. #204 225 S. Swoope Ave. #211 Ormond Beach, FL 32174 Maitland, FL 32751 (386) 898-5003 Email: [email protected] Fax (386) 675-6490 [email protected] Revised 02/14 www.Adapt-FL.com What to Expect: Your Rights: Your Responsibilities: 1. Our focus is on helping the whole family, not just 1. Respect: You and your family will be treated with 1. Attendance: You and your family will keep you, so your family should plan to participate in respect by all Adapt staff. appointments made with the clinician. If you family sessions. cannot keep an appointment, call your clinician 2. Anti-Discrimination: Your religious and cultural ahead of time to reschedule. 2. Sessions are scheduled on a regular basis, 1-2 beliefs will be respected. You will not be treated times per week, depending on the seriousness of differently based on your age, disability, race, sex, 2. Participation: You and your family will participate the issues. or ethnic group. in treatment and will follow through with the strategies agreed upon during treatment 3. Treatment is usually about 6 months, but it can be 3. Freedom of Choice: You have the right to change sessions. Family sessions are required if shorter or longer depending on you and your providers, refuse referrals for other services, or school-based treatment is being provided. family’s motivation and progress. stop services at any time, without penalty. 3. Notification: You will inform the clinician of any 4. Within the first month, you and your family will 4. Confidentiality/Privacy: You have the right to changes to your address or phone number so we work with your clinician to develop a treatment decide when and with whom to share your private can contact you, if we need to. plan, which will list your goals for treatment and information. Information about you will not be ways to reach those goals. shared with other people without your permission 4. Payment: You are responsible for any services, (or your parent’s, if you are under 18). There are co-payments or deductibles not paid by your 5. Some funders require a licensed staff to meet exceptions to this rule, including if we have to insurance. with you to do another assessment within the first report suspected abuse, neglect, or exploitation, if month of treatment. we believe someone’s life is in danger, or if a Agency Rights & Responsibilities: 6. Every 3 months, you, your family, and your judge orders it. Information shared in an 1. All agency staff will behave in a professional clinician will discuss your progress in a Treatment individual session with a child may have to be manner, including being trustworthy, Plan Review, which you (and your parent, if under shared with a parent, but the clinician will only considerate, polite, and discrete. 18) will sign. share information if it is necessary for treatment. 2. We will provide consistent, high quality treatment 7. By the end of treatment, you should be feeling 5. Access to Records: You have the right to read to you and your family. The clinician should better and you should have met your goals that and have copies of your chart information in a notify you if he/she is running late for a you identified at the beginning of treatment. Your timely manner. We might require that we be scheduled appointment. If a session has to be family (and teacher, if school services are present to explain what is written, however, and cancelled, the clinician will notify you in advance. provided) should also have learned some ways to there may be a cost for some records. help you to do your best. 3. We will keep an accurate written record of the 6. Grievances: If you make a complaint or file a treatment we provide. 8. At the final session, your clinician will make sure grievance, your services will not be terminated or that you are prepared with any services that you affected in any way. 4. We have the right to terminate services if you fail will still need after our treatment ends. You will to follow through on your responsibilities (listed 7. Freedom from Harm: We are required by law to also be asked to evaluate the success of your above) or if we believe that maximum benefit has report any suspected abuse, neglect, or treatment and provide input about your been reached. If your treatment is discontinued exploitation. If you need to report abuse, neglect, satisfaction with our services. and you still need help, you will be given a or exploitation, call the Abuse Hotline: 1-800-96- referral to another agency that can help. 9. Several months after treatment ends, you may be ABUSE (800-962-2873). contacted as a follow up to make sure you are still doing well.